314 Laws of Malaysia Form 27 Act 593 [Sections 152 and 154] Charges (1)—Charges with One Head Penal Code: On section 121 1. That you, on or about the day of , at , waged war against the Yang di-Pertuan Agong and thereby committed an offence punishable under section 121 of the Penal Code. On section 124 2. That you, on or about the day of , at , with the intention of inducing a member of the State Legislative Assembly to refrain from exercising a lawful power as such member, assaulted such member, and thereby committed an offence punishable under section 124 of the Penal Code. On section 161 3. That you, being a public servant in the Department directly accepted from (state the name), for another party (state the name) a gratification other than legal remuneration as a motive for forbearing to do an official act, and thereby committed an offence punishable under section 161 of the Penal Code. On section 166 4. That you, on or about the day of , at , did [or omitted to do, as the case may be] such conduct being contrary to and known by you to be prejudicial to and thereby committed an offence punishable under section 166 of the Penal Code. On section 193 5. That you, on or about the day of , at , in the course of the trial of before , stated in evidence that which statement you either knew or believed to be false, or did not believe to be true, and thereby committed an offence punishable under section 193 of the Penal Code. On section 304 6. That you, on or about the day of , at , committed culpable homicide not amounting to murder, by causing the death of and thereby committed an offence punishable under section 304 of the Penal Code.

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